Dr. Josh Helman, MD

You are here because you want to learn more about our programs that can help you prevent and even reverse dementia and Alzheimer's.

We will ask you a few questions to determine if you are a good fit for our program.

What is your first name?

First Name *

What is your email address?

Email *

Prevent or Reverse Dementia

You are here because you want to prevent Alzheimer’s Disease and Dementia, or you want to reverse Alzheimer’s Disease or some other form of Dementia. Is that correct? *

Yes

This new treatment is expensive. What are you able to invest to help reverse Alzheimer's Disease and Dementia? We want to make sure this is a good fit for you. *

5000

10000

50000

I can't afford it right now, please send me free information

Are you over age 50? *

Yes

Do you have a Dementia Diagnosis?

Have you been officially diagnosed with dementia? *

Yes

What Type of Dementia? (if None, skip to the next question)

What type of dementia(s) have you been diagnosed with? Please write them below (e.g., Alzhiemer’s, Stroke, Lewy Body, Parkinson’s, Huntington’s, etc.)

Have you taken prescription medication for your dementia?

(e.g., Galantamine (Razadyne®), Rivastigmine (Exelon®), Donepezil (Aricept®), etc.) *

Yes

In what State do you live? If you live outside the USA, please type your country

Are you able to travel by plane?

Yes

Would you like to schedule a consultation with one of our experts to learn more about a new cutting edge treatment that can help prevent and reverse Alzheimer's and Dementia? A $100 deposit is required *

Yes